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PREVENTIVE DENTAL MATERIALS

  PREVENTIVE DENTAL MATERIALS     Shan Lal, DDS Pediatric Dentistry   Tooth Paste  
   

Shan Lal, DDS Pediatric Dentistry

 
Tooth Paste

Tooth Paste

 

Components/composition

 

1. Colloidal binding agents - Na Alginate, methy cellulose Function: prevent separation of the components in the tube during storage.

2. Humectants (moistens or dilutes) - glycerin Function: reduces water loss by evaporation.

3. Preservatives - used to inhibit bacterial growth.

4. Flavoring agents

 
inhibit bacterial growth. 4. Flavoring agents   Mouth Washes 1. Active agent - anti-caries, antimicrobial 2.

Mouth Washes

1. Active agent - anti-caries, antimicrobial

2. Solution - water, alcohol - preservative

3. Surfactant - Na laurylsulphate ph - 3.4 - 6.6

Ethanol 0-27%

- carcinogenic effects

- staining

- 3.4 - 6.6 Ethanol 0-27% - carcinogenic effects - staining Preventive Dental Materials • Tooth

Preventive Dental Materials

• Tooth Paste

• Mouth Washes

• Fluorides

• Sealants

• Mouth guards

• Mouth Washes • Fluorides • Sealants • Mouth guards Tooth Paste 5. Abrasives - Ca

Tooth Paste

5. Abrasives - Ca carbonate, hydrated silica

Ca pyrophosphate, Na bicarbonate Function: removal of plaque, stains, calculus.

6. Detergents - Na laurylsulphate Function: used to reduce surface tension and enhance the removal of debris from the tooth surface.

7. Therapeutic agents - Stannous Fl Function: increased uptake of Fl ion leading to increased resistance of Fluorapatite to acid demin

  Preventive Materials
 

Preventive Materials

 

1.

Fluoride gels, foam and varnish:

Used for remineralisation of decalcified enamel and incipient caries.

2.

Sealants:

 

Indicated for preventing and arresting incipient lesions.

Available as clear or white, filled or unfilled, containing Fluoride or not.

Fluorides Gels, Foams, Rinses, Varnishes APF gel - 2% NaF, 0.34%HF, 0.98% Phos acid -

Fluorides

Gels, Foams, Rinses, Varnishes

APF gel - 2% NaF, 0.34%HF, 0.98% Phos acid

- 4 min application is optimal

- No eating or drinking for 1hr post application

- Applied twice a year

or drinking for 1hr post application - Applied twice a year Question 1. A 5 yr
or drinking for 1hr post application - Applied twice a year Question 1. A 5 yr

Question

1. A 5 yr old pt lives in an area with .75

ppm flouride. What is the recommended Fl supplement in this case? NDB-87

1. A 5 yr old pt lives in an area with .75 ppm flouride. What is
1. A 5 yr old pt lives in an area with .75 ppm flouride. What is
1. A 5 yr old pt lives in an area with .75 ppm flouride. What is
NDB Excerpts • F inhibits glucosyltransferase. Strep mutans uses this to produce dextrans to attach
NDB Excerpts • F inhibits glucosyltransferase. Strep mutans uses this to produce dextrans to attach
NDB Excerpts • F inhibits glucosyltransferase. Strep mutans uses this to produce dextrans to attach

NDB Excerpts

• F inhibits glucosyltransferase. Strep mutans uses this to produce dextrans to attach to teeth.

• Fl prevents smooth surface caries NOT pit and fissure caries….Sealants prevent pit and fissure C.

• Toxic flouride dose =5mg/kg.

• Lethal dose=20mg/kg.

• Antidote-milk and antacids containing calcium.

• Antidote-milk and antacids containing calcium. Fluoride Varnishes • 5% NaF • Long History in Europe

Fluoride Varnishes

• 5% NaF

• Long History in Europe

• Excellent Clinical Effectiveness

• 0.1% Difluorosilane • Durafluor, Omnifluor, etc.

• Easy to Use: Paint THIN Layer on Dry Teeth

• 24 Hour Slight Yellowing

Paint THIN Layer on Dry Teeth • 24 Hour Slight Yellowing Question - A child spends

Question

- A child spends his first seven years in a community in a temperate zone, water supply contains 3 ppm flouride, mottling will develop in which teeth? NDB’87

flouride, mottling will develop in which teeth? NDB’87 NDB Excerpts 75-90%, sealants-30%). (systemic 30%,

NDB Excerpts

75-90%,

sealants-30%).

(systemic 30%, topical30%, occlusal

• Flourides affect the tooth in the following manner- Chemically reacts with hydroxyapatite crystals to replace the hydroxyl ions,

• Only effects the outer layers of enamel…makes the apatite crystals more resistant to acid,…Increases remineralization.

• Total reduction of smooth surface caries by flouride –

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Glass Ionomer cements • Fluorosilicate glass powder(base) combined with a water soluble polymer(acid) e.g. -
Glass Ionomer cements • Fluorosilicate glass powder(base) combined with a water soluble polymer(acid) e.g. -

Glass Ionomer cements

• Fluorosilicate glass powder(base) combined

with a water soluble polymer(acid) e.g. - Ketac cement

• Resin-modified glass ionomer cements:

are glass ionomers with a light polymerised resin component. e.g.- Vitrebond and Vitremer

polymerised resin component. e.g.- Vitrebond and Vitremer Mouthguards • Stock, custom made • Technique - Place

Mouthguards

• Stock, custom made

• Technique - Place a polyvinyl polyethylene thermoplastic sheet over the model on a vacuform. Trim to fit.

QuickTime™ and a hoto CD Decompressor needed to use this picture
QuickTime™ and a
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Resin-modified glass ionomers

Advantages:

1. Increased mechanical properties

2. Physiochemically bonds to tooth structure

3. Biocompatible, moisture forgiving

4. Similar coefficient of thermal expansion as dentin therefore a good dentin replacement material. (sandwich technique)

5. Ion lechability - Fluoride release(anticariogenic action)

6. Minimal polymerization shrinkage

(sandwich technique) 5. Ion lechability - Fluoride re lease(anticariogenic action) 6. Minimal polymerization shrinkage 5
(sandwich technique) 5. Ion lechability - Fluoride re lease(anticariogenic action) 6. Minimal polymerization shrinkage 5
Decompressor use this picture
Decompressor
use this picture
QuickTime™ and a hoto CD Decompressor needed to use this picture
QuickTime™
and a
hoto CD Decompressor
needed to use this picture
and a hoto CD Decompressor needed to use this picture Thank you ! Recommended reading… “Craig”

Thank you !

and a hoto CD Decompressor needed to use this picture Thank you ! Recommended reading… “Craig”

Recommended reading… “Craig” Dental Decks